A nurse observes the parentchild interaction during the ...

[tsand2]

A nurse observes the parentchild interaction during the 9-year-old well-child checkup and notes the child is dressed in a seductive adult manner. Which response by the nurse would be most beneficial?
 
  1. Telling the parent, I am going to refer you to parenting classes, since your child is dressed inappropriately.
 
  2. Asking the child, Are you happy with the way you are dressed?
 
  3. Asking the mother to leave the room so she can talk with the child alone
 
  4. Telling the parent, Let's talk privately. Let's discuss the way your child is dressed, and possible ways to dress more appropriately.

Question 2

The pediatric nurse's best defense against an accusation of malpractice or negligence is that the nurse:
 
  1. Is a nurse practitioner or clinical nurse specialist.
  2. Met the Society of Pediatric Nurses standards of practice.
  3. Was acting on the advice of the nurse manager.
  4. Followed the physician's written orders.

[Liddy]

Answer to Question 1

4

Rationale:
1. The nurse should discuss concerns with the parent before any referrals are made.
2. It is not appropriate for the nurse to discuss this concern with the child before discussing it privately with the parent first.
3. It would be inappropriate for the nurse to ask the parent to leave the room to discuss the concern with the child before discussing it privately with the parent first.
4. The best approach to this encounter would be for the nurse to discuss concerns with the parent privately.

Answer to Question 2

2
Rationale 1: Being a clinical nurse specialist or nurse practitioner does not defend the nurse against these accusations if he does not follow the Society of Pediatric Nurses standards of practice.
Rationale 2: Meeting the Society of Pediatric Nurses standards of practice would cover the pediatric nurse against an accusation of malpractice or negligence because the standards are rigorous and cover all bases of excellent nursing practice.
Rationale 3: Acting on the advice of the nurse manager is not enough to defend the nurse from accusations because the advice could be wrong or unethical.
Rationale 4: Following the physician's written orders is not enough to defend the nurse from accusations because the orders could be wrong or unethical.
Global Rationale:

[tsand2]

TYSM

[Kedrick2014]

Excellent